Unknown Individual – Registered Dietitian, NPI 1093981193

Unknown Individual is a healthcare provider. based in Coral springs, Florida. specializing in Registered Dietitian. They hold a License No. ND4671 (FL). The NPI Number for Unknown Individual is 1093981193

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093981193
Phone
(954) 755-2121
Address
2901 CORAL HILLS DR STE 150
Deactivation Date
24 January 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Coral Hills Drive, Coral Springs, Broward County, Florida, 33065, United States

    CORAL SPRINGS, FL 330654146

    Phone: (954) 755-2121

    Fax: (954) 755-2224

    Type: Location

  • Royal Palm Way, Boca Raton, Palm Beach County, Florida, 33432, United States

    #18

    BOCA RATON, FL 334328715

    Phone: (415) 203-4489

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33065)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1093981193.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Coral Springs, Florida in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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